Sulfimycin

Generic Name: erythromycin and sulfisoxazole (ee RITH roe MYE sin and SUL fa SOX i zole)

Brand Names: Pediazole

What is Sulfimycin (erythromycin and sulfisoxazole)?

Erythromycin is in a group of drugs called macrolide antibiotics. Erythromycin fights bacteria in the body.

Sulfisoxazole is a sulfa drug that also fights bacteria in the body.

The combination of erythromycin and sulfisoxazole is used to ear infections in children.

Erythromycin and sulfisoxazole may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Sulfimycin (erythromycin and sulfisoxazole)?

Do not take this medication if you are allergic to erythromycin or sulfisoxazole, if you are in your 9th month of pregnancy, or if you are breast-feeding a baby younger than 2 months old.

Before taking erythromycin and sulfisoxazole, tell your doctor if you have liver or kidney disease, diabetes, myasthenia gravis, a history of "Long QT Syndrome," or if you are allergic to sulfa drugs or other antibiotics such as azithromycin (Zithromax) or clarithromycin (Biaxin).

Take this medication for the full prescribed length of time. Your symptoms may get better before the infection is completely cleared. Erythromycin and sulfisoxazole will not treat a viral infection such as the common cold or flu.

What should I discuss with my healthcare provider before taking Sulfimycin (erythromycin and sulfisoxazole)?

Do not take this medication if you are allergic to erythromycin or sulfisoxazole, or if::

• 
  

  you are in your 9th month of pregnancy; or

  
  


• 
  

  you are breast-feeding a baby younger than 2 months old.

  
  

Erythromycin may interact with these medicines and could cause dangerous or life-threatening heart rhythm disorders.

If you have any of these other conditions, you may need a dose adjustment or special tests to safely use this medication:

• kidney disease;


• 
  

  liver disease;

  
  


• 
  

  diabetes;

  
  


• 
  

  myasthenia gravis;

  
  


• 
  

  a history of "Long QT Syndrome"; or

  
  


• 
  

  if you are allergic to sulfa drugs or other antibiotics such as azithromycin (Zithromax) or clarithromycin (Biaxin).

  
  

FDA pregnancy category C. It is not known whether erythromycin and sulfisoxazole is harmful to an unborn baby when taken in early pregnancy. Before taking this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment. Do not take erythromycin and sulfisoxazole during late pregnancy. Erythromycin and sulfisoxazole can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not take erythromycin and sulfisoxazole if you are breast-feeding a baby younger than 2 months old. Older adults may be more likely to have side effects from this medication. Do not give this medication to a child younger than 2 months old.

How should I take Sulfimycin (erythromycin and sulfisoxazole)?

Take this medication exactly as prescribed by your doctor. Do not take it in larger amounts or for longer than recommended. Follow the directions on your prescription label.

Take erythromycin and sulfisoxazole with a full glass (8 ounces) of water. Drink plenty of fluids every day while taking this medication.

Take this medication with food or milk if it upsets your stomach.

Shake the liquid medicine well just before you measure a dose. To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Erythromycin and sulfisoxazole is usually given 3 or 4 times daily. Try to take the medicine at evenly spaced intervals throughout the day.

Take this medication for the full prescribed length of time. Your symptoms may get better before the infection is completely cleared. Erythromycin and sulfisoxazole will not treat a viral infection such as the common cold or flu. If you need to have any type of surgery, tell the surgeon ahead of time that you are using erythromycin and sulfisoxazole. You may need to stop using the medicine for a short time.

Erythromycin and sulfisoxazole can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using erythromycin.

Store this medication in the refrigerator. Do not freeze. Throw away any unused medicine that is older than 14 days

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include dizziness, drowsiness, loss of appetite, nausea, vomiting, diarrhea, ringing in your ears, headache, stomach pain, fever, and fainting.

What should I avoid while taking Sulfimycin (erythromycin and sulfisoxazole)?

Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, stop taking this medication and call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.

Avoid exposure to sunlight, sunlamps, or tanning beds. Erythromycin and sulfisoxazole can make your skin more sensitive to sunlight, and a sunburn may result. Wear protective clothing and use sunscreen (SPF 15 or higher) when you are outdoors.

Sulfimycin (erythromycin and sulfisoxazole) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have a serious side effect such as:

• 
  

  dizziness, fainting, fast or pounding heartbeat;

  
  


• 
  

  diarrhea that is watery or bloody;

  
  


• 
  

  confusion, hallucinations;

  
  


• 
  

  muscle pain, tenderness, or weakness with fever or flu symptoms and dark colored urine;

  
  


• 
  

  white patches or sores inside your mouth or on your lips;

  
  


• 
  

  fever, sore throat, and headache with a severe blistering, peeling, and red skin rash;

  
  


• 
  

  the first sign of any skin rash, no matter how mild;

  
  


• 
  

  pale skin, easy bruising or bleeding;

  
  


• 
  

  ringing in your ears, or problems with hearing;

  
  


• 
  

  numbness or tingly feeling in your hands or feet;

  
  


• 
  

  sore throat, swelling or lump in your throat or neck;

  
  


• 
  

  cough, feeling short of breath;

  
  


• 
  

  blood in your urine, pain in your side or lower back, pain when you urinate;

  
  


• 
  

  urinating less than usual or not at all; or

  
  


• 
  

  nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

  
  

Less serious side effects may include:

• 
  

  mild nausea, vomiting, diarrhea, or stomach pain;

  
  


• 
  

  headache, mild dizziness, spinning sensation; or

  
  


• 
  

  vaginal itching or discharge.

  
  

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Sulfimycin (erythromycin and sulfisoxazole)?

Many drugs can interact with erythromycin. Below is just a partial list. Tell your doctor if you are using:

• 
  

  bromocriptine (Parlodel);

  
  


• 
  

  colchicine (Colcrys);

  
  


• 
  

  alprazolam (Xanax), midazolam (Versed), or triazolam (Halcion);

  
  


• 
  

  a blood thinner such as warfarin (Coumadin);

  
  


• 
  

  cyclosporine (Gengraf, Neoral, Sandimmune);

  
  


• 
  

  digoxin (Lanoxin);

  
  


• 
  

  methotrexate (Rheumatrex, Trexall);

  
  


• 
  

  theophylline (Elixophyllin, Theo-24, Uniphyl);

  
  


• 
  

  antifungal medication such as itraconazole (Sporanox), fluconazole (Diflucan), ketoconazole (Nizoral), or voriconazole (Vfend);

  
  


• 
  

  any other antibiotic, especially clarithromycin (Biaxin), dalfopristin/quinupristin (Synercid), levofloxacin (Levaquin), moxifloxacin (Avelox), or rifabutin (Mycobutin);

  
  


• 
  

  a blood thinner such as warfarin (Coumadin);

  
  


• 
  

  diabetes medication you take by mouth;

  
  


• 
  

  a diuretic (water pill);

  
  


• 
  

  a cholesterol-lowering medication such as lovastatin (Mevacor) or simvastatin (Zocor);

  
  


• 
  

  heart or blood pressure medication such as amiodarone (Cordarone, Pacerone), diltiazem (Cartia, Cardizem), dofetilide (Tikosyn), felodipine (Plendil), nifedipine (Nifedical, Procardia), sotalol (Betapace), or verapamil (Calan, Covera, Isoptin, Verelan);

  
  


• 
  

  heart rhythm medicine such as disopyramide (Norpace), procainamide (Procan, Pronestyl), propafenone (Rythmol), quinidine (Quinidex, Quin-Release Quin-G);

  
  


• 
  

  migraine headache medicine such as eletriptan (Relpax), ergotamine (Ercaf, Cafergot, Ergostat, Ergomar) or dihydroergotamine (D.H.E. 45, Migranal); or

  
  


• 
  

  seizure medication such as carbamazepine (Tegretol), phenytoin (Dilantin), or valproic acid (Depakote, Depakene).

  
  

This list is not complete and there are many other drugs that can interact with erythromycin and sulfisoxazole. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

More Sulfimycin resources

• Sulfimycin Use in Pregnancy & Breastfeeding
• Sulfimycin Drug Interactions
• Sulfimycin Support Group
• 0 Reviews for Sulfimycin - Add your own review/rating

• Eryzole Advanced Consumer (Micromedex) - Includes Dosage Information


• Pediazole MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Sulfimycin with other medications

• Otitis Media

Where can I get more information?

• Your pharmacist can provide more information about erythromycin and sulfisoxazole.

Nevirapine

Pronunciation: ne-VYE-ra-peen
Generic Name: Nevirapine
Brand Name: Viramune

Severe and sometimes fatal liver problems have occurred in patients taking Nevirapine. This may occur in men and women, but the risk may be greater in women and in patients with a high CD4 cell count at the start of treatment. Certain pregnant women and women with a CD4 cell count higher than 250 have the greatest risk. Liver function tests and CD4 cell counts may be performed while you take Nevirapine. Contact your doctor right away if you develop a rash, dark urine, yellowing of the eyes or skin, pale stools, stomach pain, nausea, loss of appetite, or unusual tiredness.

Nevirapine should only be used in patients who have been diagnosed with HIV. Do not use Nevirapine to prevent HIV infection if you have been exposed to the virus.

Nevirapine may cause serious and sometimes fatal skin reactions. Contact your doctor immediately if you develop a rash or red, swollen, blistered, or peeling skin.

The risk of liver and skin problems is greatest during the first 18 weeks of therapy, but these problems may occur at any time during treatment. Your doctor will check for side effects frequently during the first several months after you start taking Nevirapine. Be sure to keep all doctor and lab appointments. Take Nevirapine exactly as prescribed by your doctor. If you develop a liver or skin problem or if you have a severe allergic reaction to Nevirapine, you must not take it again.

Nevirapine is used for:

Treating HIV infection. It must be used along with other HIV medicines.

Nevirapine is a nonnucleoside reverse transcriptase inhibitor (NNRTI). It works by blocking the growth of HIV.

Do NOT use Nevirapine if:

• you are allergic to any ingredient in Nevirapine


• you have moderate to severe liver problems


• you have had a serious liver or skin reaction while taking Nevirapine


• you are taking another medicine that contains nevirapine


• you are taking efavirenz, certain HIV protease inhibitors (eg, atazanavir, fosamprenavir, lopinavir/ritonavir), itraconazole, ketoconazole, lurasidone, rifampin, or St. John's wort


• you have not been diagnosed with HIV

Contact your doctor or health care provider right away if any of these apply to you.

Before using Nevirapine:

Some medical conditions may interact with Nevirapine. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding


• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement


• if you have allergies to medicines, foods, or other substances


• if you have liver problems (eg, cirrhosis, hepatic fibrosis, hepatitis), abnormal liver function tests, or certain skin problems (eg, growths, rash)


• if you have kidney problems or are receiving dialysis


• if you have a fever, a high CD4 cell count, or an abnormally high level of white blood cells

Some MEDICINES MAY INTERACT with Nevirapine. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Prednisone because the risk of severe skin rash may be increased


• Fluconazole because it may increase the risk of Nevirapine's side effects


• Rifampin or St. John's wort because they may decrease Nevirapine's effectiveness


• Anticoagulants (eg, warfarin), HMG-CoA reductase inhibitors (eg, atorvastatin), or rifabutin because the risk of their side effects may be increased by Nevirapine


• Antiarrhythmics (eg, amiodarone, disopyramide), azole antifungals (eg, itraconazole, ketoconazole), calcium channel blockers (eg, diltiazem, nifedipine, verapamil), carbamazepine, cisapride, clarithromycin, clonazepam, cyclophosphamide, cyclosporine, efavirenz, ergot alkaloids (eg, ergotamine), ethosuximide, exemestane, fentanyl, HIV protease inhibitors (eg, atazanavir, fosamprenavir, lopinavir/ritonavir, indinavir, nelfinavir), hormonal contraceptives (eg, birth control pills), lurasidone, methadone, sirolimus, tacrolimus, tyrosine kinase receptor inhibitors (eg, dasatinib), or ulipristal because their effectiveness may be decreased by Nevirapine

This may not be a complete list of all interactions that may occur. Ask your health care provider if Nevirapine may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Nevirapine:

Use Nevirapine as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Nevirapine comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Nevirapine refilled.


• Take Nevirapine by mouth with or without food.


• Take Nevirapine with a full glass of liquid (8 oz/240 mL). You may take it with water, milk, or soda.


• Taking Nevirapine at the same time each day will help you remember to take it.


• Continue to take Nevirapine even if you feel well. Do not miss any doses.


• If you miss a dose of Nevirapine, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. If you miss taking Nevirapine for more than 7 days, contact your doctor before you start to take it again.

Ask your health care provider any questions you may have about how to use Nevirapine.

Important safety information:

• Do NOT take more than the recommended dose or take for longer than prescribed without checking with your doctor.


• Nevirapine is not a cure for HIV infection. Patients may still get illnesses and infections associated with HIV. Remain under the care of your doctor.


• When your medicine supply is low, get more from your doctor or pharmacist as soon as you can. Do not stop taking Nevirapine, even for a short period of time. If you do, the virus may grow resistant to the medicine and become harder to treat.


• Nevirapine does not stop the spread of HIV to others through blood or sexual contact. Use barrier methods of birth control (eg, condoms) if you have HIV infection. Do not share needles, injection supplies, or items like toothbrushes or razors.


• Changes in body fat (eg, an increased amount of fat in the upper back, neck, breast, and trunk, and loss of fat from the legs, arms, and face) may occur in some patients taking Nevirapine. The cause and long-term effects of these changes are unknown. Discuss any concerns with your doctor.


• Nevirapine may improve immune system function. This may reveal hidden infections in some patients. Tell your doctor right away if you notice symptoms of infection (eg, fever, sore throat, weakness, cough, shortness of breath) after you start Nevirapine.


• Hormonal birth control (eg, birth control pills) may not work as well while you are taking Nevirapine. To prevent pregnancy, use an extra form of birth control (eg, condoms).


• Lab tests, including liver function, heart function, complete blood cell counts, and CD4 cell counts, may be performed while you take Nevirapine. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.


• Nevirapine should be used with extreme caution in CHILDREN younger than 3 months; safety and effectiveness in these children have not been confirmed.


• Caution is advised when using Nevirapine in CHILDREN; they may be more sensitive to its effects, especially anemia.


• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of taking Nevirapine while you are pregnant. Nevirapine is found in breast milk. Mothers infected with HIV should not breast-feed. There is a risk of passing the HIV infection or Nevirapine to the baby.

Possible side effects of Nevirapine:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Diarrhea; headache; mild nausea or stomach pain; tiredness; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); change in the amount of urine produced; eye irritation, pain, redness, or swelling; fever, chills, or sore throat; general feeling of being unwell; mouth sores; muscle or joint aches or pain; red, swollen, peeling, or blistered skin (with or without fever); swollen lymph glands; symptoms of liver problems (eg, yellowing of the skin or eyes; dark urine; loss of appetite; pale stools; severe, persistent, or unusual nausea or stomach pain); unusual tiredness or weakness.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Nevirapine side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include dizziness; fever; nausea; rash; severe or persistent headache; swelling; trouble breathing; trouble sleeping; unexplained weight loss; unusual tiredness; vomiting.

Proper storage of Nevirapine:

Store Nevirapine at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store in a tightly closed container. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Nevirapine out of the reach of children and away from pets.

General information:

• If you have any questions about Nevirapine, please talk with your doctor, pharmacist, or other health care provider.


• Nevirapine is to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.


• Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Nevirapine. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Nevirapine resources

• Nevirapine Side Effects (in more detail)
• Nevirapine Dosage
• Nevirapine Use in Pregnancy & Breastfeeding
• Nevirapine Drug Interactions
• Nevirapine Support Group
• 1 Review for Nevirapine - Add your own review/rating

• Nevirapine Monograph (AHFS DI)


• Nevirapine Professional Patient Advice (Wolters Kluwer)


• nevirapine Concise Consumer Information (Cerner Multum)


• nevirapine Advanced Consumer (Micromedex) - Includes Dosage Information


• Viramune Prescribing Information (FDA)

Compare Nevirapine with other medications

• HIV Infection
• Reduction of Perinatal Transmission of HIV

Iletin II Regular Pork

Generic Name: insulin regular (IN soo lin REG yoo lar)

Brand Names: Humulin R, Novolin R, Novolin R Innolet, Novolin R PenFill, ReliOn/Novolin R

What is Iletin II Regular Pork (insulin regular)?

Insulin is a hormone that is produced in the body. It works by lowering levels of glucose (sugar) in the blood. Insulin regular is a long-acting form of insulin that is slightly different from other forms of insulin that are not man-made.

Insulin regular is used to treat diabetes.

Insulin regular may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Iletin II Regular Pork (insulin regular)?

Take care to keep your blood sugar from getting too low, causing hypoglycemia. Symptoms of low blood sugar may include headache, nausea, hunger, confusion, drowsiness, weakness, dizziness, blurred vision, fast heartbeat, sweating, tremor, or trouble concentrating. Carry a piece of non-dietetic hard candy or glucose tablets with you in case you have low blood sugar. Also be sure your family and close friends know how to help you in an emergency.

Also watch for signs of blood sugar that is too high (hyperglycemia). These symptoms include increased thirst, loss of appetite, increased urination, nausea, vomiting, drowsiness, dry skin, and dry mouth. Check your blood sugar levels and ask your doctor how to adjust your insulin doses if needed.

Never share an injection pen or cartridge with another person. Sharing injection pens or cartridges can allow disease such as hepatitis or HIV to pass from one person to another.

Insulin is only part of a complete program of treatment that may also include diet, exercise, weight control, foot care, eye care, dental care, and testing your blood sugar. Follow your diet, medication, and exercise routines very closely. Changing any of these factors can affect your blood sugar levels.

Do not change the brand of insulin or syringe you are using without first talking to your doctor or pharmacist. Some brands of insulin regular and syringes are interchangeable, while others are not. Your doctor and/or pharmacist know which brands can be substituted for one another.

What should I discuss with my healthcare provider before using Iletin II Regular Pork (insulin regular)?

Do not use this medication if you are allergic to insulin, or if you are having an episode of hypoglycemia (low blood sugar).

Before using insulin regular, tell your doctor if you have liver or kidney disease.

Tell your doctor about all other medications you use, including any oral (by mouth) diabetes medications.

Insulin regular is only part of a complete program of treatment that may also include diet, exercise, weight control, foot care, eye care, dental care, and testing your blood sugar. Follow your diet, medication, and exercise routines very closely. Changing any of these factors can affect your blood sugar levels.

Your doctor will need to check your progress on a regular basis. Do not miss any scheduled appointments.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether insulin regular passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I use Iletin II Regular Pork (insulin regular)?

Use this medication exactly as it was prescribed for you. Do not use it in larger amounts or for longer than recommended by your doctor. Follow the directions on your prescription label.

Insulin regular is given as an injection (shot) under your skin. Your doctor, nurse, or pharmacist will give you specific instructions on how and where to inject this medicine. Do not self-inject this medicine if you do not fully understand how to give the injection and properly dispose of used needles and syringes.

Choose a different place in your injection skin area each time you use this medication. Do not inject into the same place two times in a row.

Insulin regular should look as clear as water. Do not use the medication if has changed colors, looks cloudy, or has particles in it. Call your doctor for a new prescription.

Use each disposable needle only one time. Throw away used needles in a puncture-proof container (ask your pharmacist where you can get one and how to dispose of it). Keep this container out of the reach of children and pets.

Some insulin needles can be used more than once, depending on needle brand and type. But a reused needle must be properly cleaned, recapped, and inspected for bending or breakage. Reusing needles also increases your risk of infection. Ask your doctor or pharmacist whether you are able to reuse your insulin needles.

Do not change the brand of insulin or syringe you are using without first talking to your doctor or pharmacist. Some brands of insulin regular and syringes are interchangeable, while others are not. Your doctor and/or pharmacist know which brands can be substituted for one another. Never share an injection pen or cartridge with another person. Sharing injection pens or cartridges can allow disease such as hepatitis or HIV to pass from one person to another.

Check your blood sugar carefully during a time of stress or illness, if you travel, exercise more than usual, or skip meals. These things can affect your glucose levels and your insulin dose needs may also change.

Watch for signs of blood sugar that is too high (hyperglycemia). These symptoms include increased thirst, loss of appetite, increased urination, nausea, vomiting, drowsiness, dry skin, and dry mouth. Check your blood sugar levels and ask your doctor how to adjust your insulin doses if needed.

Ask your doctor how to adjust your insulin regular dose if needed. Do not change your dose without first talking to your doctor. Carry an ID card or wear a medical alert bracelet stating that you have diabetes, in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you are diabetic. Storing unopened vials and cartridges: Keep in the carton and store in a refrigerator, protected from light. Unopened vials may also be stored at room temperature, away from heat and bright light.

Storing after your first use: Keep the "in-use" vials or cartridges at room temperature.

Do not freeze insulin regular, and throw away the medication if it has become frozen.

Throw away any insulin not used before the expiration date on the medicine label.

What happens if I miss a dose?

Since insulin regular is used before meals or snacks, you may not be on a timed dosing schedule. Whenever you use insulin regular, be sure to eat a meal or snack within 15 to 30 minutes. Do not use extra insulin to make up a missed dose.

It is important to keep insulin regular on hand at all times. Get your prescription refilled before you run out of medicine completely.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. An insulin overdose can cause life-threatening hypoglycemia.

Symptoms of severe hypoglycemia include extreme weakness, blurred vision, sweating, trouble speaking, tremors, stomach pain, confusion, seizure (convulsions), or coma.

What should I avoid while using Iletin II Regular Pork (insulin regular)?

Do not change the brand of insulin regular or syringe you are using without first talking to your doctor or pharmacist. Avoid drinking alcohol. Your blood sugar may become dangerously low if you drink alcohol while using insulin regular.

Iletin II Regular Pork (insulin regular) side effects

Get emergency medical help if you have any of these signs of insulin allergy: itching skin rash over the entire body, wheezing, trouble breathing, fast heart rate, sweating, or feeling like you might pass out.

Hypoglycemia, or low blood sugar, is the most common side effect of insulin. Symptoms of low blood sugar may include headache, nausea, hunger, confusion, drowsiness, weakness, dizziness, blurred vision, fast heartbeat, sweating, tremor, trouble concentrating, confusion, or seizure (convulsions). Watch for signs of low blood sugar. Carry a piece of non-dietetic hard candy or glucose tablets with you in case you have low blood sugar.

Tell your doctor if you have itching, swelling, redness, or thickening of the skin where you inject insulin.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Iletin II Regular Pork (insulin regular)?

Using certain medicines can make it harder for you to tell when you have low blood sugar. Tell your doctor if you use any of the following:

• 
  

  albuterol (Proventil, Ventolin);

  
  


• 
  

  clonidine (Catapres);

  
  


• 
  

  reserpine;

  
  


• 
  

  guanethidine (Ismelin); or

  
  


• 
  

  beta-blockers such as atenolol (Tenormin), bisoprolol (Zebeta), labetalol (Normodyne, Trandate), metoprolol (Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal, InnoPran), timolol (Blocadren), and others.

  
  

There are many other medicines that can increase or decrease the effects of insulin on lowering your blood sugar. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

More Iletin II Regular Pork resources

• Iletin II Regular Pork Side Effects (in more detail)
• Iletin II Regular Pork Use in Pregnancy & Breastfeeding
• Iletin II Regular Pork Drug Interactions
• Iletin II Regular Pork Support Group
• 1 Review for Iletin II Regular Pork - Add your own review/rating

• Humulin R MedFacts Consumer Leaflet (Wolters Kluwer)


• Humulin R Prescribing Information (FDA)


• Humulin R (Concentrated) MedFacts Consumer Leaflet (Wolters Kluwer)


• Novolin R Prescribing Information (FDA)

Compare Iletin II Regular Pork with other medications

• Diabetes, Type 1
• Diabetes, Type 2
• Diabetic Ketoacidosis
• Gestational Diabetes
• Growth Hormone Reserve Test
• Hyperkalemia
• Insulin Resistance Syndrome
• Nonketotic Hyperosmolar Syndrome

Where can I get more information?

• Your pharmacist can provide more information about insulin regular.

See also: Iletin II Regular Pork side effects (in more detail)